Clinical Stage Prediction (CSP) Score of Taniguchi et al for Staging Gastric Cancer

Description

Taniguchi et al used the Clinical Score Prediction (CSP) score to stage a gastric cancer prior to surgery. Staging prior to surgery can help with treatment planning including preoperative chemotherapy. The authors are from Tokyo Women's Medical University.

Patient selection: gastric cancer

Parameters:

(1) serum CEA concentration

(2) tumor diameter in mm

(3) circumferential involvement

(4) extension into esophagus

(5) histology

(6) macroscopic type (from 0 to 4; based on Japanese classification)

Parameter	Finding	Points
serum CEA	<= 5.0 ng/mL	0
	> 5.0 ng/mL	2
tumor diameter	< 60 mm	0
	>= 60 mm	9
circumferential	no	0
	yes	2
esophagus	no	0
	yes	2
histology	mucinous	1
	other	0
macroscopic type	0	-7
	1	0
	2	10
	3	16
	4	10

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: -7

• maximum score: 32

• A score < 17 is associated with Stage I or II disease.

• A score >= 17 is associated with Stage III or IV disease.

Performance:

• The area under the ROC curve is 0.94.

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Clinical Stage Prediction (CSP) Score of Taniguchi et al for Staging Gastric Cancer

Description

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